NNAAP Nurse Aide Practice Written Exam Packet

The purpose of this Practice Written Examination is to assist individuals in preparing for the NNAAP Written Examination. The Practice Written Examination will enable you to familiarize yourself with the styles and types of questions that will appear in the actual examination. To obtain the maximum benets from taking this Practice Written Examination, you are encouraged to follow the procedures below. These are designed to assist you in creating an atmosphere that is as close to an actual test situation as possible.
1. Read all directions rst. 2. Take this examination in a quiet location where outside noise or interference is at a minimum. Have two (2) pencils available when you begin. 3. Time yourself. The time allotted to take the test is two (2) hours.

NNAAP CONTENT OUTLINE

PRACTICE EXAM

PRACTICE EXAM ANSWER SHEET

PRACTICE EXAM ANSWER KEY

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The NNAAP Practice Written Examination is currently available for the following states: Alabama, Alaska, California, Colorado, Connecticut, Delaware, Washington D.C., Florida, Idaho, Louisiana, Maryland, Minnesota, Mississippi, Nevada, New Hampshire, New Jersey, New Mexico, North Dakota, Pennsylvania, Rhode Island, South Carolina, Texas, Virginia, Virgin Islands, Washington (state), and Wyoming.

Copyright 2004 Promissor. All Rights Reserved.

0699-12 8/04

NNAAP Content Outline

The Written Examination is comprised of seventy (70) multiple-choice questions. Ten (10) of these questions are pre-test (non-scored) questions on which statistical information will be collected. The Oral Examination is comprised of sixty (60) multiple-choice questions and ten (10) word recognition (or reading comprehension) questions.

I. Physical Care Skills

A. Activities of Daily Living . . . . . . 7% of exam (4 questions) 1. Hygiene 2. Dressing and Grooming 3. Nutrition and Hydration 4. Elimination 5. Rest/Sleep/Comfort B. Basic Nursing Skills . . . . . . . . . 37% of exam (22 questions) 1. Infection Control 2. Safety/Emergency 3. Therapeutic/Technical Procedures 4. Data Collection and Reporting C. Restorative Skills . . . . . . . . . . . . 5% of exam (3 questions) 1. Prevention 2. Self-Care/Independence

II. Psychosocial Care Skills

A. Emotional and Mental Health Needs . . . . . . . 10% of exam (6 questions) B. Spiritual and Cultural Needs . . 3% of exam (2 questions)

III. Role of the Nurse Aide

A. Communication . . . . . . . . . . . . 10% of exam (6 questions) B. Client Rights. . . . . . . . . . . . . . . 15% of exam (9 questions) C. Legal and Ethical Behavior . . . .5% of exam (3 questions) D. Member of the Health Care Team . . . . . . . . . . . . . . . . . .8% of exam (5 questions)

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NNAAP Nurse Aide Practice Written Exam

1. What is the term for a device used to take the place of a missing body part? (A) Pronation (B) Abduction (C) External rotation (D) Prosthesis 2. When a client has left-sided weakness, what part of a sweater is put on rst? (A) Both sleeves (B) Left sleeve (C) Clients choice (D) Right sleeve 3. It is appropriate for a nurse aide to share the information regarding a clients status with: (A) any one the nurse aide sees t (B) the clients family members (C) the clients roommate (D) the staff on the next shift 4. When helping a client who is recovering from a stroke to walk, the nurse aide should assist: (A) on the clients strong side (B) on the clients weak side (C) from behind the client (D) with a wheelchair (A) Leave the client alone (B) Convince the client to accept the loss (C) Encourage the client to talk (D) Discourage individual activity 5. The nurse aide is caring for a client who is agitated. The nurse aide SHOULD: (A) speak loudly so the client can hear the instructions (B) ask to reassign the care of this client (C) talk in a slow, calm, reassuring manner (D) tell the client to be quiet 6. The purpose for padding side rails on the clients bed is to: (A) use them as a restraint (B) have a place to connect the call signal (C) protect the client from injury (D) keep the client warm 7. Exercises that move each muscle and joint are called: (A) adduction (B) range of motion (C) abduction (D) rotation 8. How can the nurse aide BEST help a client who is not accepting a loss?

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9. The Heimlich maneuver (abdominal thrust) is used for a client who has: (A) a bloody nose (B) a blocked airway (C) fallen out of bed (D) impaired eyesight 10. To BEST communicate with a client who is totally deaf, the nurse aide should: (A) smile frequently and speak loudly (B) smile often and talk rapidly (C) avoid eye contact (D) write out information 11. The nurse aide is asked by a confused client what day it is. The nurse aide should: (A) explain that memory loss is natural and the date is not important (B) ignore the request (C) point to the date on a calendar and say the date (D) provide the date and then test the client later 12. To avoid pulling the catheter when turning a male client, the catheter tube must be taped to the clients: (A) bed sheet (B) upper thigh (C) bed frame (D) hip

13. A nurse aide can assist clients with their spiritual needs by: (A) taking clients to the nurse aides church (B) allowing clients to talk about their beliefs (C) avoiding any religious discussions (D) talking about the nurse aides own spiritual beliefs 14. A nurse aide MUST wear gloves when: (A) feeding a client (B) doing peri-care (C) giving a back rub (D) doing range of motion 15. When getting ready to dress a client, the nurse aide SHOULD: (A) get the rst clothes the nurse aide can reach in the closet (B) give the client a choice of what to wear (C) use the clothes the client wore the day before (D) choose clothes that the nurse aide personally likes 16. If the nurse aide discovers re in a clients room, the FIRST thing do is: (A) call the nurse in charge (B) try to put out the re (C) open a window (D) remove the client

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17. In order to communicate clearly with a client who has hearing loss, the nurse aide should: (A) speak in a high pitched tone of voice (B) stand behind the client when speaking (C) speak in a loud and slow manner (D) look directly at the client when speaking 18. Which of the following stages of dying is usually the nal stage? (A) Anger (B) Acceptance (C) Bargaining (D) Depression 19. If a client says, God is punishing me or Why me?, how should the nurse aide respond? (A) Reply, God doesnt punish people. (B) Listen quietly (C) Ignore the client (D) Make jokes 20. The role of the ombudsman is to:

21. A nurse aide who is active in her church is assigned to care for a client who is not a member of any religious group. The nurse aide SHOULD: (A) help the client understand the nurse aides faith (B) tell the client that it is important for the client to join some church, even if it is not the nurse aides church (C) respect the clients beliefs and avoid starting religious discussions (D) arrange to have the nurse aides clergyman visit the client 22. The nurse aide notices that a clients mail has been delivered to the clients room. The nurse aide SHOULD: (A) open the mail and leave it on the clients table (B) open the mail and read it to the client (C) read the mail to make sure it doesnt contain upsetting news (D) give the client the unopened mail and offer help as needed 23. Which of the following is a correct measurement of urinary output? (A) 40 oz

(A) run a group of nursing homes (B) work with the nursing home to protect clients rights (C) control the nursing home budget (D) prepare classes that nurse aides take to learn about client hygiene

(B) 300 cc (C) 2 cups (D) 1 quart

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24. The client offers a nurse aide a twenty dollar bill as a thank you for all that the nurse aide has done. The nurse aide SHOULD: (A) take the money so as not to offend the client (B) politely refuse the money (C) take the money and buy something for the oor (D) ask the nurse in charge what to do 25. All of the following situations are examples of abuse or neglect EXCEPT: (A) restraining a client according to a physicians order (B) leaving a client alone in a bathtub (C) threatening to withhold a clients meals (D) leaving a client in a wet and soiled bed 26. If a client is sitting in a chair in his room masturbating, the nurse aide SHOULD: (A) report the incident to the other nurse aides (B) tell the client to stop (C) laugh and tell the client to go in the bathroom (D) leave the client alone and provide privacy 27. To convert four ounces of juice to milliliters (ml), the nurse aide should multiply: (A) 4 x 5 ml (B) 4 x 10 ml (C) 4 x 15 ml (D) 4 x 30 ml

28. In giving care according to the clients Bill of Rights, the nurse aide SHOULD: (A) provide privacy during the clients personal care (B) open the clients mail without permission (C) use the clients personal possessions for another client (D) prevent the client from complaining about care 29. The LAST sense a dying client will lose is: (A) smell (B) hearing (C) taste (D) sight 30. A client wakes up during the night and asks for something to eat. The nurse aide SHOULD: (A) check clients diet before offering nourishment (B) tell the client nothing is available at night (C) explain that breakfast is coming in three hours (D) tell the client that eating is not allowed during the night 31. The normal aging process is BEST dened as the time when: (A) people become dependent and childlike (B) Alzheimers disease begins (C) normal body functions and senses decline (D) people are over sixty-ve years of age

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32. If a client is confused, the nurse aide should: (A) ignore the client until he starts to make sense (B) restrain the client so that he does not hurt himself (C) keep the client away from other clients (D) help the client to recognize familiar things and people 33. What is the process of restoring a disabled client to the highest level of functioning possible? (A) Responsibility (B) Retention (C) Rehabilitation (D) Reincarnation

36. The nurse aide nds a conscious client lying on the bathroom oor. The FIRST thing the nurse aide should do is: (A) help the client into a sitting position (B) call for assistance from the nurse in charge (C) offer the client a drink of water (D) check for signs of injury 37. If a nurse aide nds a client who is sad and crying, the nurse aide should: (A) ask the client if something is wrong (B) tell the client to cheer up (C) tell the client to stop crying (D) call the clients family 38. Clients have the right to: (A) smoke in any area of the facility (B) have access to a telephone (C) go anywhere in the facility (D) see other clients medical reports 39. Proper use of a waist restraint requires that the nurse aide: (A) release the restraint every four hours (B) watch for skin irritation (C) tie restraints to the siderail (D) apply the restraint tightly so the client cannot move

34. When changing an unsterile dressing, the nurse aide should wash hands: (A) before the procedure (B) after the procedure (C) before and after the procedure (D) before, after removal of the soiled dressing, and after the procedure 35. Clean bed linen placed in a clients room but NOT used should be: (A) returned to the linen closet (B) used for a client in the next room (C) taken to the nurse in charge (D) put in the dirty linen container

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40. To prevent the spread of infection, how should the nurse aide handle the soiled linens removed from a clients bed? (A) Shake them in the air (B) Place them in a neat pile on the oor (C) Carry them close to the nurse aides body (D) Put them in the dirty linen container 41. A client needs to be repositioned but is heavy, and the nurse aide is not sure she can move the client alone. The nurse aide should: (A) try to move the client alone (B) have the family do it (C) ask another nurse aide to help (D) go on to another task 42. To prevent dehydration of the client, the nurse aide SHOULD: (A) offer uids frequently while the client is awake (B) wake the client hourly during the night to offer uids (C) give the client frequent baths (D) feed the client salty food to increase thirst 43. When transferring a client, MOST of the clients weight should be supported by the nurse aides: (A) back (B) shoulders (C) legs (D) wrists

44. To be sure that a clients weight is measured accurately, the client should be weighed: (A) after a meal (B) by a different nurse aide (C) at the same time of day (D) after a good nights sleep 45. How many tips does a quad-cane base have? (A) 1 (B) 2 (C) 3 (D) 4 46. BEFORE taking the oral temperature of a client who has just nished a cold drink, the nurse aide should wait: (A) 10 to 20 minutes (B) 25 to 35 minutes (C) 45 to 55 minutes (D) at least 1 hour 47. Which of the following methods is the CORRECT way to remove a dirty isolation gown? (A) Pull it over the head (B) Let it drop to the oor and step out of it (C) Roll it dirty side in and away from the body (D) Pull it off by the sleeve and shake it out

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48. What would be the BEST way for the nurse aide to promote client independence in bathing a client who has had a stroke? (A) Give the client a complete bath only when the client requests it (B) Encourage the client to do as much as possible and assist as needed (C) Leave the client alone and assume the client will do as much as she can (D) Limit the client to washing her hands 49. A safety device used to assist a DEPENDENT client from a bed to a chair is called a: (A) posey vest (B) hand roll (C) transfer/gait belt (D) foot board 50. If a nurse aide needs to wear a gown to care for a client in isolation, the nurse aide MUST: (A) wear the same gown to care for all other assigned clients (B) leave the gown untied (C) take the gown off before leaving the clients room (D) take the gown off in the dirty utility room

51. When making an occupied bed, the nurse aide SHOULD: (A) put the dirty sheets on the oor (B) help the client to sit in a chair while the bed is being made (C) lower both side rails before changing the sheets (D) raise side rail on unattended side 52. The nurse aide is in the employee dining room. A group of nurse aides are eating lunch together and begin discussing how rude a certain client was acting. The nurse aide SHOULD: (A) join in the conversation (B) suggest that this is not the place to discuss the client (C) be quiet and not say anything to the other nurse aides (D) return to the unit and tell the client what was said 53. The nurse aide enters a clients room, and the client states that he has pain. What should the nurse aide do? (A) Report it to the nurse in charge (B) Tell the client to get out of bed for awhile (C) Tell the client that the pain will go away soon (D) Ignore the clients statement

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54. A client is upset and crying over the recent death of her husband. How should the nurse aide respond? (A) Tell her not to cry because it will make her feel sad (B) Close the door and leave the client to cry alone (C) Take the client to an activity to help her forget her husband (D) Sit with the client and allow her to talk about her feelings 55. Which temperature is considered MOST accurate? (A) Oral (B) Axillary (C) Groin (D) Rectal 56. What is a beginning sign of a pressure sore? (A) Swelling (B) Numbness (C) Discoloration (D) Coolness 57. While assisting a client with denture care the nurse aide observes that the upper plate is cracked. The nurse aide SHOULD: (A) clean the dentures and return them to the clients mouth (B) call the clients family (C) call the dentist and make an appointment (D) report the damage to the nurse in charge

58. A new client refuses to wear a clothing protector at lunch. The nurse aide SHOULD: (A) tell the client that he must wear it (B) put the clothing protector on the client (C) report this to the nurse in charge (D) respect the clients wishes 59. The nurse aide can BEST show that he is listening to the client by: (A) changing the subject frequently (B) responding when appropriate (C) correcting the clients mistakes (D) directing the conversation 60. The BEST time to prepare for a disaster is: (A) while evacuating residents (B) during lunch (C) when everyone is safely in bed (D) before it happens

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Practice Exam for Nurse Aides ANSWER SHEET

A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A

B B B B B B B B B B B B B B B B B B B B B B B B B B B B B B

C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C

D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D

31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60

A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A

B B B B B B B B B B B B B B B B B B B B B B B B B B B B B B

C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C

D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D

This form is similar to the answer sheet on the nurse aide Written Examination. Fill in one bubble for each question, then check your answers using the answer key on page 11.

2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30

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Practice Exam Answer Key

Please refer to the following tables to score your examination. If there is a question you had incorrect, you can refer to the content area listed next to that question number before taking the NNAAP Examination. You can nd the Content Outline on page 1 of this packet or in your Candidate Handbook. Question Number Answer
1 D

Category
MEMBER OF THE HEALTH CARE TEAM ACTIVITIES OF DAILY LIVING CLIENT RIGHTS BASIC NURSING SKILLS EMOTIONAL AND MENTAL HEALTH NEEDS BASIC NURSING SKILLS

Question Number Answer

24 B

Category
LEGAL AND ETHICAL BEHAVIOR CLIENT RIGHTS CLIENT RIGHTS BASIC NURSING SKILLS CLIENT RIGHTS ACTIVITIES OF DAILY LIVING CLIENT RIGHTS EMOTIONAL AND MENTAL HEALTH NEEDS EMOTIONAL AND MENTAL HEALTH NEEDS MEMBER OF THE HEALTH CARE TEAM BASIC NURSING SKILLS BASIC NURSING SKILLS MEMBER OF THE HEALTH CARE TEAM EMOTIONAL AND MENTAL HEALTH NEEDS CLIENT RIGHTS LEGAL AND ETHICAL BEHAVIOR BASIC NURSING SKILLS BASIC NURSING SKILLS ACTIVITIES OF DAILY LIVING BASIC NURSING SKILLS BASIC NURSING SKILLS MEMBER OF THE HEALTH CARE TEAM

2 3 4 5

B D B C

25 26 27 28 29

A D D A B A C

6 7 8 9 10 11 12 13

C B C B D C B B

30 RESTORATIVE SKILLS 31 COMMUNICATION BASIC NURSING SKILLS COMMUNICATION 33 COMMUNICATION BASIC NURSING SKILLS SPIRITUAL AND CULTURAL NEEDS ACTIVITIES OF DAILY LIVING CLIENT RIGHTS BASIC NURSING SKILLS COMMUNICATION EMOTIONAL AND MENTAL HEALTH NEEDS COMMUNICATION MEMBER OF THE HEALTH CARE TEAM SPIRITUAL AND CULTURAL NEEDS CLIENT RIGHTS 45 BASIC NURSING SKILLS 38 39 37 34 35 36 32

D D B

14 15 16 17 18

B B D D B

B B

19 20

B B

40 41 42 43 44

D C A C C D

21

22 23

D B

11

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Question Number Answer

46 47 48 49 50 51 52 A C B C C D B

Category
BASIC NURSING SKILLS BASIC NURSING SKILLS

Question Number Answer

54 D

Category
EMOTIONAL AND MENTAL HEALTH NEEDS BASIC NURSING SKILLS RESTORATIVE SKILLS BASIC NURSING SKILLS CLIENT RIGHTS COMMUNICATION BASIC NURSING SKILLS

55 RESTORATIVE SKILLS 56 BASIC NURSING SKILLS 57 BASIC NURSING SKILLS 58 BASIC NURSING SKILLS 59 LEGAL AND ETHICAL BEHAVIOR BASIC NURSING SKILLS 60

D C D D B D

53

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